Single Port ICD Adapting to Transvenous and Substernal Electrodes
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Solution Overview
Problem
Existing implantable cardioverter-defibrillators (ICDs) face challenges in user-friendliness and safety due to the complexity of electrode connections, which can lead to incorrect programming and increased logistical efforts for physicians, as they require multiple adapters and ports to accommodate different types of electrodes.
Innovation Solution
An ICD with a single electrode connection port that automatically detects and adapts to either transvenously or substernally implantable electrodes, using a processor and memory unit with specific operational modes and algorithms for each type, eliminating the need for adapters and reducing the risk of incorrect connections.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Adaptability or versatility
If multiple electrode connection ports and adapters are provided to accommodate different electrode types, then the adaptability of the ICD is improved, but the device complexity increases and the ease of operation deteriorates
Solution Approach 1:
The patent implements a single electrode connection port that can universally accept different types of electrodes (transvenous and subcutaneous) through automated detection and adaptation. The processor automatically identifies the electrode type upon connection and configures the appropriate operational mode, eliminating the need for multiple dedicated ports and adapters while maintaining full electrode compatibility
2Adaptability or versatility
If multiple electrode connection ports are provided, then the adaptability is improved, but the ease of operation worsens due to increased risk of incorrect connections
Solution Approach 1:
The ICD system performs self-identification and self-configuration by automatically detecting the connected electrode type through the processor and memory unit. The system reads stored electrode type information and autonomously selects the appropriate operational mode without requiring manual programming or physician intervention, thereby eliminating connection errors and simplifying the implantation process
3Adaptability or versatility
If manual programming of electrode type is required, then the device can be customized, but the ease of operation deteriorates and time is lost
Solution Approach 1:
The electrode type information is pre-stored in the memory unit associated with each electrode. Upon connection, the processor automatically retrieves this pre-stored information and configures the ICD operational mode accordingly, eliminating the need for time-consuming manual programming during the implantation procedure
Data Source
AI summary
An implantable cardioverter-defibrillator having a housing comprising a processor, a memory unit, a single electrode connection port, a stimulation unit configured to provide an electrode being connected to the electrode connection port with an electric pulse to stimulate a human or animal heart, and a detection unit configured to receive an electric signal of the same heart from the same electrode. According to an aspect of the invention, the electrode connection port is configured to receive a transvenously implantable electrode or a substernally implantable electrode, wherein the memory unit comprises a computer-readable program that causes the processor to operate the stimulation unit and/or the detection unit in a first operational mode if a transvenously implantable electrode is connected to the electrode connection port and in a second operational mode if a substernally implantable electrode is connected to the electrode connection port.


